Active NPI
Kathryn Elise Walters, PHYSICAL THERAPIST
- Physical Therapist
- Concord, NH
National Provider Identifier
1447650981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3948
- Practice address
- 134 Hall St Unit 1
Concord, NH 03301-3470 - Phone
- (603) 224-4540
- Fax
- (603) 228-7384
- NPI assigned
- Sep 3, 2014
- Last updated
- Jul 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3948 | NH | Primary |
Addresses
Primary practice location
134 Hall St Unit 1
Concord, NH 03301-3470
Mailing address
134 Hall St Unit 1
Concord, NH 03301-3470
Phone (603) 224-4540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
134 Hall St
Unit 1
Concord, NH 03301-3470
Phone (603) 224-4540
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3948 | NH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Jacqueline Kozak | Current | Accepting new patients | |
| Wiggle Worms Pediatric Physical Therapy, LLC | Past | Accepting new patients | |
| Allied Therapies of Texas, PLLC | Physical Therapist | Past | Accepting new patients |
Locations
4402 Williams Dr
Ste 115
Georgetown, TX 78628
Phone (512) 256-7627
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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Physical Therapist
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1447650981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 HALL ST UNIT 1",
"city": "CONCORD",
"state": "NH",
"postal_code": "033013470",
"telephone_number": "603-224-4540",
"fax_number": "603-228-7384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 HALL ST UNIT 1",
"city": "CONCORD",
"state": "NH",
"postal_code": "033013470",
"telephone_number": "603-224-4540",
"fax_number": "603-228-7384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "KATHRYN",
"middle_name": "ELISE",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-03",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "3948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.